COVID-19

First endovascular surgery in São João with endoprosthesis fenestration on the table to exclude aortic arch aneurysm performed

The Angiology and Vascular Surgery Service of the University
Hospital Center of São João (CHUSJ) performed for the first time in the
Iberian Peninsula, and for the second in Europe, the first endovascular surgery
to exclude aortic arch aneurysm with fenestration in the thoracic
endoprosthesis table. This innovative technique, called fTEVAR, allows the
prosthesis to be adapted to the patient's anatomy with millimeter accuracy in
real time.

Assisted by the creator and most experienced performer of
the technique, Chang Shu, CHUSJ vascular surgeons totally treated a 57-year-old
patient with a massive aneurysm of the arch, preserving all supra-aortic
trunks, namely left subclavian artery.

This groundbreaking technique will allow in real-time,
in-situ (in-patient) or operating table (out-of-patient) fenestrations to be
performed for all supra-aortic trunks, significantly expanding endovascular
treatment methods for complex pathology of the aortic arch by primary
aneurysmal degeneration or after dissection.